Individual provider · Type 1 NPI

Jennifer Gracia Villella, PA

Physician Assistant · Detroit, MI

NPI number 1003342411 Active

Practice location

2799 W Grand Blvd # K9
Detroit, MI 48202-2608

Call (313) 916-4920 Map

Mailing address

PO Box 670884
Detroit, MI 48267-0884

Other practice locations

  • 6777 W Maple Rd, West Bloomfield, MI 48322-3013 · (800) 653-6568
  • 2333 Biddle Ave, Wyandotte, MI 48192-4668 · (734) 246-6039

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601008182 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1003342411

Jennifer Gracia Villella, PA's National Provider Identifier is 1003342411, issued on May 4, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Detroit, MI. The record was last updated on Sep 28, 2026.